Search icon

LAKE FAMILY MEDICAL PRACTICE P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: LAKE FAMILY MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Apr 2024 (a year ago)
Entity Number: 7295293
ZIP code: 11501
County: Suffolk
Place of Formation: New York
Address: 114 old country road, suite 212, MINEOLA, NY, United States, 11501

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
lawrence v. carra, esq. DOS Process Agent 114 old country road, suite 212, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1639923675
Certification Date:
2024-11-13

Authorized Person:

Name:
DR. ROBERT A TUFANO
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6319812326

Filings

Filing Number Date Filed Type Effective Date
240402003423 2024-04-02 CERTIFICATE OF INCORPORATION 2024-04-02

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 19 Mar 2025

Sources: New York Secretary of State